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General NPI Number Information
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NPI Number | 1659242139
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Entity Type | Organization
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Legal Business Name | LIVING STREAM PARTNERS
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 375 BISHOPS WAY STE 190
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City | BROOKFIELD
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State | WI
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Zip | 53005-6200
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Country | US
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Telephone | 262-246-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 FOX RIVER PKWY UNIT A
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City | WAUKESHA
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State | WI
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Zip | 53189-5802
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Country | US
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Telephone | 262-246-2001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT DAWLEY
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Credential |
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Telephone | 262-246-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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